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Individual

MISS LAURA LEE NICHOLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR L

Contact information

Practice address
3001 SPRING FOREST RD, RALEIGH, NC 27616-2815
(910) 724-7770
Mailing address
5513 MONARCH BIRCH DR, APEX, NC 27539-5747

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4550
NC

Other

Enumeration date
06/13/2007
Last updated
07/23/2020
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